| NPI | 1336538230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KREIG CUTTER President 734-453-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901020850) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2024-08-12 |